| NPI | 1508945601 |
|---|---|
| Former Name | MELIZA CARMELA UMALI VENERACION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01086400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023736-1) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |